Farzaneh Masooltondkar M.D.

NPI 1689811861 - General Practice - 208D00000X

NPI Details
NPI 1689811861
Gender Female
Enumeration Date 01/09/2009
Last Updated 06/06/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
10731 W FOREST HOME AVE
HALES CORNERS WI, 53130-2555, US
Phone (414) 529-4600
Fax (414) 529-4689
Business Location
10731 WEST FOREST HOME AVENUE
HALES CORNERS WI, 53130-2555, US
Phone (414) 529-4600
Fax (414) 529-4689
Toxanomy
Taxonomy Code 208D00000X
License State Wisconsin
License Number 52372020
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According to our database, Farzaneh Masooltondkar M.D. NPI is 1689811861, taxonomy code is 208D00000X and license number is 52372020, license state is located at Wisconsin. Farzaneh Masooltondkar M.D. physically located at 10731 W Forest Home Ave, Hales Corners WI, 53130-2555. NPI Number Farzaneh Masooltondkar M.D. has the Individual type.

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1689811861 NPI number is provided on an as is basis without warranty of any kind. 1689811861 is maintained by the National Plan & Provider Enumeration System. The contents of Farzaneh Masooltondkar M.D. are for informational purposes only.